Please respond to your peer’s posts, from an FNP perspective. To ensure that your responses are substantive, use at least two of these prompts:

• Do you agree with your peers’ assessment?
• Take an opposing view to a peer and present a logical argument supporting an alternate opinion.
• Share your thoughts on how you support their opinion and explain why.
• Present new references that support your opinions.

Please be sure to validate your opinions and ideas with in text-citations and references in APA format. Substantive means that you add something new to the discussion, you aren’t just agreeing. Be respectful and thoughtful.This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.Minimum of 100 words.

Please use the following link to review the ACOG Guidelines for Addressing Intimate Partner Violence: Link (Links to an external site.)Links to an external site.

The ACOG Guidelines review types of intimate partner violence and also highlight risks for sexual coercion which is an alarming national trend among young adolescents and adults. The Guide offers practical advice on addressing sensitive issues. It is important to note that many victims of IPV or coercion may encounter healthcare providers multiple times before any attempt at disclosure is made.

https://www.acog.org/-/media/Departments/Violence-…

Tracie’s Post

Review the American College of Obstetrics and Gynecology website for recommendations on domestic violence screening. Identify two risk factors and describe some clinical signs you may observe in the woman who is experiencing intimate partner violence.

Domestic abuse can happen to anyone regardless of their risk factors or predisposition. There are many types of abuse. Abuse can be physical, emotional, sexual, and neglect. The action does not always have to be violent (Nordqvist, 2018). When suspecting abuse, some of the signs you can look for are being withdrawn, overly compliant, or passive (Nordqvist, 2018). Other signs to look out for are overly protective partners, the patient being overly timid, and unexplained injuries. Healthcare providers are in a very delicate position to assist women who are victims of domestic violence. According to ACOG, healthcare providers should screen all women for intimate partner violence are periodic levels due to the fact that they do not always disclose abuse the first time they are asked (The American College of Obstetrics and Gynecology, 2019). Out of fear, many victims of domestic abuse will try to deny it or cover it up until the signs are blatantly clear that they are in an unsafe environment. Often times, the women will have uncertain or inconsistent explanations for their bruises.

All women are at risk for domestic violence however, certain circumstances increase their risk. These populations include immigrant women, elderly women, high school females, and women with disabilities (The American College of Obstetrics and Gynecology, 2019). As healthcare providers, we can help by making resources available to them and screening often. For obstetric care, screening should occur at the first prenatal visit, occur once during every trimester, and at the postpartum checkup (The American College of Obstetrics and Gynecology, 2019).

References

The American College of Obstetrics and Gynecology. (2019). Violence Against Women. Retrieved from https://www.acog.org/About-ACOG/ACOG-Departments/V…

Nordqvist, C. (2018). Recognizing child abuse. Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/241532.php

Jodie’s Post

Review the American College of Obstetrics and Gynecology website for recommendations on domestic violence screening. Identify two risk factors and describe some clinical signs you may observe in the woman who is experiencing intimate partner violence.

Domestic violence is a type of abuse. It usually involves a spouse or partner, but it can also be a child or elderly relative, or other family member. Domestic violence comes in many forms. The physical violence can lead to injuries such as bruises or broken bones, sexual violence, threats of physical or sexual violence and emotional abuse that may lead to depression anxiety or social isolation. Some partners may use economic abuse which involves controlling access to money to control their partner. Domestic violence may include stalking, which causes fear for your own safety. The First stop toward safety is for the one was experiencing domestic violence tell someone that they trust such as a friend, family member, coworker, doctor, or another how doctor, or another healthcare professional (Medline Plus, 2016). While domestic abuse strikes couples of all races, religions, social economic status, and sexual orientations, risk factors for men or women becoming victims or abusers include poverty, lack of a high school education, witnessing family violence as a child, having a low sense of self-worth, and attitudes of male domination and substance abuse, especially alcohol abuse. Intimate partner abuse is a major public health problem, due to its affecting more than 2 million women and 800,000 men and resulting in homelessness, injury, or death of victims, billions of dollars in health care costs, and lost work productivity (Dryden-Edwards, 2017) .

Warning signs friends, family members, and coworkers can look for if they wonder whether the person they care about is the victim of domestic abuse include frequent absences from school or work, numerous injuries the victim tries to explain, low self-esteem, a change in their personality, fear of conflicts, passive-aggressive behavior, blaming him- or herself for the problems in their relationship, isolation from others, or stress-related physical symptoms. Health professionals unfortunately only screen for intimate partner abuse in about 20% of the patients seen. Domestic violence is most effectively assessed when the professional asks questions that call for more than a “yes” or “no” answer and do not directly inquire about domestic abuse, at least earlier during any assessment interview. Domestic abuse is treated by establishing and maintaining the safety of the victim, providing appropriate legal consequences to the batterer, addressing the emotional impact on the victim and the problems of the abuser, particularly if one of the problems includes alcohol or other substance abuse (Domestic Violence, 2017).

References

Domestic Violence. (2017, August). Retrieved from The American College of Obstetricians and Gynecologist: https://www.acog.org/Patients/FAQs/Domestic-Violen…

Dryden-Edwards, R. (2017, March 23). Domestic Violence. Retrieved from Medicinet: https://www.medicinenet.com/domestic_violence/arti…

Medline Plus. (2016, Decemeber 21). Domestic Violence. Retrieved from Medline Plus: https://medlineplus.gov/domesticviolence.html